Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.02 / $291.72 / $5,634.00	Facility		$101.02	$291.72	$5,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $143.63 / $196.35	Professional		$101.02	$143.63	$196.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $155.47 / $207.28	Professional		$155.47	$155.47	$207.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $856.00 / $4,320.00 / $8,230.00	Facility		$856.00	$4,320.00	$8,230.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $146.28 / $213.50	Professional		$108.58	$146.28	$213.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $144.56 / $234.51	Facility		$99.25	$144.56	$234.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.85 / $181.53 / $246.23	Professional		$170.85	$181.53	$246.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.13 / $168.56 / $264.10	Professional		$110.13	$168.56	$264.10
United Facility/Professional Facility Modifier Low / Median / High Price $933.00 / $2,252.00 / $4,426.00	Facility		$933.00	$2,252.00	$4,426.00
United Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $185.05 / $292.81	Professional		$141.18	$185.05	$292.81